My daughter will be 8 in August and has had “recurring/chronic croup” since around 6 months of age. Almost every episode requires a trip to the ER or Urgent Care for dexamethasone and racemic epinephrine nebs. Sometimes I can get it better by having her sit in the cool air outside, but moist, hot air doesn’t do anything. She has been hospitalized 3 times in the last 7 years for 1 1/2 to 2 days each time. She is currently in the ER with croup as I am writing this. I had always been told that she would outgrow it, but it hasn’t happened yet. She was overdue when born and has never been intubated. She gets it almost every time she gets a sickness that includes a cough. She has the full “attack” with stridor, barky cough, and retractions and has mini panic attacks along with each bout. We have gotten to the point with our local Urgent Care docs that she routinely gets sent home with a dexamethasone prescription when she requires a trip in, so that the next time of the cool air doesn’t help I can give her a dose to see if it helps first.
Adult croup patients normally notice the starting of a respiratory infection of the upper air passages during the croup incubation duration of two to four days. In this duration, a low-grade fever, rhinorrhea and a mild cough are the only symptoms that appear. Later on, inflammation, erythema and exudate are triggered due to the fact that of release of inflammatory factors resulting in cough. The cough of croup looks like the sound made by seals and makes an extreme barking sound. The swelling of the vocal cables may result in hoarseness due to the fact that of the cough however swallowing usually remains untouched. Croup in adults becomes worse at night which may need you to check out the family physician or the emergency situation department of your nearest health center late in the night.
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